Exposure to the tsunami disaster, PTSD symptoms and increased substance use – an Internet based survey of male and female residents of Switzerland

BACKGROUND: After the tsunami disaster in the Indian Ocean basin an Internet based self-screening test was made available in order to facilitate contact with mental health services. Although primarily designed for surviving Swiss tourists as well as relatives and acquaintances of the victims, the screening instrument was open to anyone who felt psychologically affected by this disaster. The aim of this study was to evaluate the influences between self-declared increased substance use in the aftermath of the tsunami disaster, trauma exposure and current PTSD symptoms. METHODS: One section of the screening covered addiction related behavior. We analyzed the relationship between increased substance use, the level of PTSD symptoms and trauma exposure using multivariable logistic regression with substance use as the dependent variable. Included in the study were only subjects who reported being residents of Switzerland and the analyses were stratified by gender in order to control for possible socio-cultural or gender differences in the use of psychotropic substances. RESULTS: In women PTSD symptoms and degree of exposure enlarged the odds of increased alcohol, pharmaceuticals and cannabis use significantly. In men the relationship was more specific: PTSD symptoms and degree of exposure only enlarged the odds of increased pharmaceutical consumption significantly. Increases in alcohol, cannabis and tobacco use were only significantly associated with the degree of PTSD symptoms. CONCLUSION: The tsunami was associated with increased substance use. This study not only replicates earlier findings but also suggests for a gender specificity of post-traumatic substance use increase

Study protocol of the iMPaCT project : A longitudinal cohort study assessing psychological determinants, sexual behaviour and chlamydia (re)infections in heterosexual STI clinic visitors

Acknowledgements We are grateful to the staff at the STI clinics of Amsterdam, Kennemerland, Hollands Noorden, Twente, who are involved in the recruitment and data collection of participants, and Marlous Ratten and Klazien Visser from Soapoli-online, who are involved in the coordination of laboratory testing of the home-based sampling kits at six-month follow-up. We also thank the staff at the STI department at the National Institute for Public Health and the Environment, especially Birgit van Benthem. Funding This project is funded by the Strategic Programme (SPR) of the National Institute for Public Health and the Environment (RIVM) (project number S/113004/01/IP). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript. Availability of data and materials The dataset (anonymised) generated during this study will be made available for interested parties on request.Peer reviewedPublisher PD

Darwinism, organizational evolution and survival: key challenges for future research

How do social organizations evolve? How do they adapt to environmental pressures? What resources and capabilities determine their survival within dynamic competition? Charles Darwin’s seminal work The Origin of Species (1859) has provided a significant impact on the development of the management and organization theory literatures on organizational evolution. This article introduces the JMG Special Issue focused on Darwinism, organizational evolution and survival. We discuss key themes in the organizational evolution research that have emerged in recent years. These include the increasing adoption of the co-evolutionary approach, with a particular focus on the definition of appropriate units of analysis, such as routines, and related challenges associated with exploring the relationship between co-evolution, re-use of knowledge, adaptation, and exaptation processes. We then introduce the three articles that we have finally accepted in this Special Issue after an extensive, multi-round, triple blind-review process. We briefly outline how each of these articles contributes to understanding among scholars, practitioners and policy makers of the continuous evolutionary processes within and among social organizations and systems

Intellectual disabilities and intervention strategies: international approach

Introduction: This study focuses on the strategies of implementing practical activities in children with intellectual disabilities. It is aimed at encouraging and rehabilitating neuropsychological processes of attention, behaviour and cognition (visual and spatial abilities, elemental and complex motor abilities and conceptual functions). Subject: This study was aimed at children with mild intellectual disabilities with the emphasis on their cognitive and behavioural functioning in relation to different aspects of the applied treatment strategies. Material and methods: The sample consists of 124 examinees with mild intellectual disability, of both genders, aged between 8 and 13, attending primary schools in Belgrade. In this research we applied the Trial Making Test (TMT; Reitan, 1971) for attention assessment, the IOWA Conners' Rating Scale for Children for behaviour assessment, and the Test of Concept Utilization (TCU; Crager and Lane, 1981) for the assessment of cognitive functions. Results: The results indicate the presence of developmental disabilities in the examined areas in more than 50% of the tested children and a high statistically significant correlation between the applied treatment modalities and tested abilities and functions (r=0.52-0.59, df lt 0.01). The study points out the necessity of implementing the multimodal approach: team work of professionals and non-professionals (cooperation between professionals and parents), complementary treatment (medical and special treatment, psychosocial interventions, combination of treatment strategies), psychotherapy and psycho-pharmacotherapy when necessary, as well as special education and rehabilitation, based on individual education programs and individual training programs (IEP and ITP) and special rehabilitation procedures and methods. Conclusion: New treatment strategies, with the emphasis on special rehabilitation treatment, were proposed in conclusion

Perceptions of Financial Well-Being among American Women in Diverse Families

Family structure, Finances, Financial well-being, Money, Retirement, Women,